The Role of Rurality, Travel Time, and Neighborhood Socioeconomics on Patterns of Adjuvant Therapy Receipt among Patients with Endometrial Cancer.

ABSTRACT:

Background

Rural patients with endometrial cancer are more likely to receive lower-quality treatment compared with their urban peers. We evaluated the role of contextual factors [rurality, distance to care, and community socioeconomics (SES)] on the receipt of adjuvant therapy (AT): vaginal brachytherapy (VBT), external beam radiation, and chemotherapy.

Methods

We analyzed Surveillance Epidemiology and End Results-Medicare and included stages IB grade 3 and stages II to IV. We used county-level rural-urban continuum codes to define rurality, the Yost index to measure community SES, and measure of average driving time to gynecologic oncology care. Multivariable logistic regression was used to estimate adjusted ORs (aOR) and 95% confidence intervals (CI) evaluating AT receipt,

SUBMITTER: Petermann VM 

PROVIDER: S-EPMC12314515 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature